Skip to main content

The term selective mutism describes the behaviour of children who are able to speak but remain silent with certain people or in certain settings. It is a form of social anxiety.

Some children may choose to speak to specific friends, but not adults, others may only communicate in whispers when in certain settings like school, on the telephone, birthday parties.

Children with selective mutism are often misunderstood and may be wrongly punished for their inability to speak and communicate. Others are misdiagnosed with speech and language difficulties; autism, oppositional defiant disorder, or learning disabilities.

Children with selective mutism should not be forced to speak, as this leads to worsening of anxiety. Selectively mute children are not manipulative, nor are they developmentally delayed; they are simply too anxious to speak. It is most commonly noticed when a child joins a school.

Causes of selective mutism

There’s a variety of causes of selective mutism but as it is a phobia, most are associated with anxiety. Children literally become too distressed to speak.

Some children have trouble processing sensory information like loud noises and can shut down when overwhelmed. If a child has a speech and language disorder or hearing problem, it may also contribute to making speaking stressful.

There is no evidence that children with selective mutism are more likely to have been abused, neglected or suffered trauma than other children.

Diagnosis of selective mutism

The diagnostic criteria for selective mutism are:

  • Consistent failure to speak in specific social situations (in which there is an expectation for speaking, such as at school), despite speaking fluently in other situations.
  • The mutism interferes with educational or occupational achievement or with social communication.
  • The duration of the disturbance is at least one month (not limited to the first month of school).
  • The failure to speak is not due to a lack of knowledge of, or comfort with, the spoken language required in the social situation.
  • The disturbance is not accounted for by a communication disorder (stammering, for instance) and does not occur exclusively during the course of a pervasive developmental disorder (like autism).

Prevalence and diagnosis

1 in 140 children are selectively mute and it occurs more in girls than boys, particularly girls who are learning a second language. Selective mutism starts in childhood, usually between the ages of 2 and 4 but may persist to adulthood. When it persists for a long time teachers and parents may experience high levels of frustration and even anger.

Children tend not to simply grow out of selective mutism, so when the condition persists a planned approach is usually helpful.

Approaches and interventions, which require patience, time and imagination, tend to work best when they occur in the places where the child does not speak. However, the involvement of the parents is critical. It is not helpful to insist a child speaks.

How schools can help

It is essential that all adults who come into contact with the child are aware of the difficulty. They must not react excessively when a child speaks in a social situation, even by praising it, as this will add to the child’s self-consciousness.

Teachers and support assistants can:

  • Place an emphasis on activities that do not involve spoken language, such as gesture, writing, silent reading, and drawing.
  • Allow the child to communicate by other means such as via the computer. 
  • Place the child in small groups for classroom tasks. A child with selective mutism normally benefits from being in a mainstream class, and from working and playing with other children.
  • Practise a gradual merging-in approach, when the child is playing happily with a friend.

The speech and language therapist, educational psychologist or Child and Adolescent Mental Health Services (CAMHS) may be involved in planning an intervention programme for the child. Parents and others, with whom the child does speak, should be involved, but the targeted activities should be carried out at school. As more speech emerges, other people may be involved gradually.

This disability is usually overcome, but the best chance the child has is when the school works closely with parents and outside support services.

Further information

www.nhs.uk/conditions/selective-mutism/

http://www.selectivemutism.org.uk

Most popular Good Schools Guide articles


  • Special schools

    What matters to your child with special needs or learning difficulties is finding the school that best suits them as an individual and will give them the best chances in life.

  • Special educational needs introduction

    Need help? Perhaps you suspect your child has some learning difficulty and you would like advice on what you should do. Or perhaps it is becoming clear that your child's current school is not working for him or her, and you need help to find a mainstream school which has better SEN provision, or to find a special school which will best cater for your child's area of need. Our SEN consultancy team advises on both special schools, and the mainstream schools with good SEN support, from reception through to the specialist colleges for 19+. Special Educational Needs Index

  • Visual Impairment (VI) and Hearing Impairment (HI)

    Visual Impairment (VI) and Hearing Impairment (HI) in childhood include sight and hearing difficulties and sometimes a combination of both (known as multi-sensory impairments).

  • Choosing a school for special needs

    How do you choose a school for a child with special educational needs? What should you look for in mainstream schools, and how do you get funding for independent specialist schools for children with complex needs?

  • Flexible working - your rights

    If your child has special needs, you are likely to need more time off work than others. The good news is you have the right to request flexible working.


Subscribe for instant access to in-depth reviews:

30,000 Independent, state and special schools in our parent-friendly interactive directory
 Instant access to in-depth UK school reviews
 Honest, opinionated and fearless independent reviews of over 1,000 schools
 Independent tutor company reviews

Try before you buy - The Charter School Southwark

The Good Schools Guide subscription

GSG Blog >

The Good Schools Guide newsletter

The Good Schools Guide Newsletter

Educational insight in your inbox. Sign up for our popular newsletters.

The Good Schools Guide manifesto for parents